Atlas vertebra realignment and achievement of arterial pressure goal in hypertensive patients: a pilot study

Bakris, George L.; Dickholtz, Marshall; Meyer, Peter; Kravitz, Gary R.; Avery, Elizabeth; Miller, Margaret A.; Brown, Justin C.; Woodfield, Courtney A.; Bell, Brendan

doi:10.1038/sj.jhh.1002133

Cited by 60 publications

(76 citation statements)

References 9 publications

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“…The American Heart Association reported in 2003 that over 65 million Americans suffer from hypertension. 1 With the increasing demand for evidence-based chiropractic care and the effect of chiropractic manipulation on patients with hypertension reported by Bakris et al, 2 it is imperative that all chiropractic students be well-versed in the correct method for assessing blood pressures. This is in harmony with the Council on Chiropractic Education accreditation standards meta-competency 1 to perform properly an initial assessment and diagnosis of the patient.…”

Section: Introductionmentioning

confidence: 99%

Knowledge of accurate blood pressure measurement procedures in chiropractic students

Crosley¹,

Rose²

2013

Journal of Chiropractic Education

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Objective: Blood pressure measurement is a basic clinical procedure. However, studies have shown that many errors are made when health care providers acquire blood pressure readings. Our study assessed knowledge of blood pressure measurement procedures in chiropractic students. Methods: This was an observational, descriptive study. A questionnaire based on one created by the American Heart Association was given to 1st, 2nd, 3rd, and final year students (n ¼ 186). A one way ANOVA was used to analyze the data. Results: Of the students 80% were confident that their knowledge of this clinical skill was adequate or better. However, the overall score on the knowledge test of blood pressure-taking skills was 52% (range, 24%-88%). The only significant difference in the mean scores was between the 1st and 2nd year students compared to the 3rd and 4th year students (p , .005). Of the 16 questions given, the following mean scores were: 1st year 10.45, 2nd year 9.75, 3rd year 7.93, and 4th year 8.33. Of the 16 areas tested, 10 were of major concern (test item score ,70%), showing the need for frequent retraining of chiropractic students. Conclusion: Consistent with studies in other health care disciplines, our research found the knowledge of blood pressure skills to be deficient in our sample. There is a need for subsequent training in our teaching program.

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Section: Introductionmentioning

confidence: 99%

Knowledge of accurate blood pressure measurement procedures in chiropractic students

Crosley¹,

Rose²

2013

Journal of Chiropractic Education

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“…The primary efficacy end point of the study was represented by the effects of the approach on sphygmomanometric systolic and diastolic blood pressure values, which were reduced at the end of the 8-week follow-up period by about 14 and 8 mm Hg, respectively (placebo-corrected values). 12 The intriguing findings provided by Bakris et al in this pilot study arise a number of questions that hopefully will be matter of future investigations. First, how are satisfactorily documented in the present study are the blood pressure lowering effects of the chiropractic procedure?…”

mentioning

confidence: 77%

“…3,[8][9][10] The favourable haemodynamic outcome of the surgical intervention is likely to be triggered by a sympathetic deactivation, as several indirect and/or direct markers of adrenergic neural drive, such as plasma and urinary noradrenaline, low-frequency/high-frequency spectral power ratio as well as efferent postganglionic sympathetic nerve firing rate, have all shown a consistent and rather homogeneous reduction of adrenergic cardiovascular drive following surgical decompression. [10][11] In the present issue of the Journal of Human Hypertension, Bakris et al 12 add a new piece of information to the above-mentioned findings, by providing evidence on the favourable blood pressure lowering effects of chiropractic procedures capable to correct misalignment of the Atlas vertebra and thus to induce medullary vascular decompression. According to a double-blind, placebo-controlled study design, hypertensive patients with documented evidence of vertebral misalignment were randomized either to a chiropractic vertebral realignment procedure or to a sham intervention.…”

mentioning

confidence: 87%

Blood pressure lowering effects of non-surgical procedures for vascular decompression: good news to be taken with caution

Grassi

2007

J Hum Hypertens

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“…The relationship of an atlas chiropractic subluxation and amelioration of cardiac symptoms may be similar to the amelioration of hypertension by an atlas-specific adjustment as described by Bakris et al 24 or in the treatment of infantile colic as reported by Wiberg et al 25 The authors of this article theorize that the amelioration of the arrhythmia and hypertension may be linked to the moderating parasympathetic tone conveyed by the vagus directly on the heart through the cardiac plexus or on the ansa subclavia through the vagal anastomoses previously described in the article. The tachyarrhythmia in the 22-year-old female patient described by Kaymak et al 2 disappeared after she underwent surgery.…”

Section: Discussionmentioning

confidence: 98%

Chiropractic care of a patient with thoracic outlet syndrome and arrhythmia

Shreeve

Rose

2011

Journal of Chiropractic Medicine

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Objective: The purpose of this article is to describe a case report and discuss a possible anatomical explanation of the occurrence of arrhythmias in patients with thoracic outlet syndrome (TOS). Clinical Features: A 60-year-old man experienced arrhythmia when he turned his head to the left and had these symptoms for 7 years. The patient attributed his symptoms to TOS. The arrhythmia was triggered while performing an Adson test during the clinical evaluation. Intervention and Outcome: The Grostic procedure as a measure of analysis of the biomechanical relationship of C1 to C0 and the lower cervical spine was performed. According to this analysis, the patient had a right laterality malposition of the atlas. Highvelocity, low-amplitude manipulations (adjustments) were applied. The patient's symptoms improved after one visit and demonstrated resolution upon evaluation at the third visit. In the year following the initial presentation, he has had minor recurrent short-lived episodes of arrhythmia that abated with the atlas manipulation/adjustment. Conclusion: There is a paucity of published reports describing the management of patients with arrhythmias through manipulative methods. This appears to be the first case that describes the successful amelioration of an arrhythmia associated with TOS using chiropractic adjustment of the atlas vertebra as the sole intervention.

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Atlas vertebra realignment and achievement of arterial pressure goal in hypertensive patients: a pilot study

Cited by 60 publications

References 9 publications

Knowledge of accurate blood pressure measurement procedures in chiropractic students

Knowledge of accurate blood pressure measurement procedures in chiropractic students

Blood pressure lowering effects of non-surgical procedures for vascular decompression: good news to be taken with caution

Chiropractic care of a patient with thoracic outlet syndrome and arrhythmia

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